Individual
LEESHA NICOLE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2133 W TANYA TRL, PHOENIX, AZ 85086-4372
(480) 392-7257
Mailing address
2133 W TANYA TRL, PHOENIX, AZ 85086-4372
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
280542
AZ
Other
Enumeration date
06/10/2026
Last updated
06/10/2026
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